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Lifetime Dental Care of Illinois, PC

General Practice Dentistry in Springfield, IL · enumerated 2007 · authorized official Amy Kroeger, Ins Cood.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720200074

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Registry record

Entity type Organization (Type 2)
Legal business name Lifetime Dental Care of Illinois, PC
Other name <Unavail>
Practice address 3124 Montvale Drive, Springfield, IL, 62704
Fax (217) 546-9547
Enumeration date May 3, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Amy Kroeger
Title Ins Cood

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lifetime Dental Care of Illinois, PC located?
The practice location on file with NPPES is in Springfield, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.